Savvyderm Skin Clinic

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SAVVYDERM SKIN CLINIC

Practice address

32782 Cedar Dr Ste 2
Millville, DE 19967-6919

Phone

(302) 448-6874

NPI assigned

Mar 3, 2022

Last updated

Mar 3, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Catherine E Boucher, NPNPI 1457727679

Title

Owner

Phone

(302) 448-6874

Specialties & licenses 1

Addresses

Other names 1

• Savvyderm Skin Clinic Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Boucher, FNP

  • Dermatopathology Physician
  • Millville, DE
  • NPI 1457727679

  Dermatology

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1245987908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32782 CEDAR DR STE 2",
            "city": "MILLVILLE",
            "state": "DE",
            "postal_code": "199676919",
            "telephone_number": "302-448-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32782 CEDAR DR STE 2",
            "city": "MILLVILLE",
            "state": "DE",
            "postal_code": "199676919",
            "telephone_number": "302-448-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVVYDERM SKIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-448-6874",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savvyderm Skin Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dermatology Physician in Millville, DE
• Providers in Millville, DE by specialty
• Dermatology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.